Displaying 27721-27730 of 1611142 results.
ID:
27721
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
27722
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
27723
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27724
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
27725
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
27726
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
27727
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27728
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27729
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27730
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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